Individual
DONNIE WOODSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5208 JACKSON ST STE B, ALEXANDRIA, LA 71303-2303
(318) 625-7176
Mailing address
5208 JACKSON ST STE B, ALEXANDRIA, LA 71303-2303
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/30/2018
Last updated
10/30/2018
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